CATHY CHAN (NPI# 1104904648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104904648 |
| Entity Type | Individual |
| Full Name | CATHY CHAN |
| Credential | DDS |
| Practice Address |
1954 Del Paso Rd Suite 101 Sacramento CA 95834-7706 |
| Practice Telephone | 9164190020 |
| Mailing Telephone | 9164190020 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
40367 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265070569 | Cathy Wing Chan | Dental Hygienist | 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 | 2019-12-17 |
| Street Address |
1954 DEL PASO RD SUITE 101 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95834-7706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568884229 | Bryan Randolph Dds A Professional Dental Corp. | Clinic/Center | 1954 Del Paso Rd, Suite 101, Sacramento, CA 95834-7706 | 2014-01-15 |
| 1932267994 | Bryan Clark Randolph | Dentist | 1954 Del Paso Rd, Suite #101, Sacramento, CA 95834-7706 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871085209 | Yen T Tran | Student in an Organized Health Care Education/Training Program | 3810 Rosin Ct Suite 170, Sacramento, CA 95834 | 2018-06-01 |
| 1326557620 | Mariah N Calpo | Registered Nurse | 601 North Market, Sacramento, CA 95834 | 2017-09-29 |
| 1710400700 | Rose Medical Transportation | Driver | 4330 Natomas Central Dr, Sacramento, CA 95834 | 2017-07-20 |
| 1801319066 | Caitlin Janae Lluen | Physical Medicine & Rehabilitation | 1948 Del Paso Road Suite 135, Sacramento, CA 95834 | 2017-07-19 |
| 1083152169 | Irene Enriquez Ramos | Social Worker | 3627 Broadland Street, Sacramento, CA 95834 | 2017-02-08 |
| 1609322973 | Zachary Estrada | Student in an Organized Health Care Education/Training Program | 3780 Rosic Court, Ste 130, Sacramento, CA 95834 | 2016-08-28 |
| 1104287465 | Mark David Levine, Mbr | Psychiatry & Neurology | 3835 N. Freeway Blvd., Suite 100, Sacramento, CA 95834 | 2016-03-15 |
| 1376902767 | Peter Yang | Case Manager/Care Coordinator | 3870 Rosin Court Ste 130, Sacramento, CA 95834 | 2016-02-15 |
| 1346615739 | Renee Joyce Eckley Reinhardt | Nurse Practitioner | 4100 E Commerce Way Suite 100, Sacramento, CA 95834 | 2015-12-10 |
| 1558779454 | Hanh Tran I | Pharmacist | 3769 Broadland St, Sacramento, CA 95834 | 2014-07-24 |
| Find all providers in zip 95834 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1093225088 | S.y.y Jang Dds Corp | Dentist | 7227 29th St # C, Sacramento, CA 95822-5005 | 2017-10-04 |
| 1194193680 | Garrett A. Lee Dds, Inc. | Dentist | 8241 Bruceville Rd, Suite 180, Sacramento, CA 95823-2365 | 2015-09-14 |
| 1679976013 | Craig B Hollingsworth Dds Inc | Dentist | 2650 21st St. #7, Sacramento, CA 95818-2539 | 2014-09-30 |
| 1851707178 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Dentist | 4670 Natomas Blvd, Suite 100, Sacramento, CA 95835-1217 | 2014-07-08 |
| 1104073121 | Ellen Mark | Dentist | 6399 Garfield Ave, Suite 150, Sacramento, CA 95841 | 2008-08-20 |
| 1124292388 | Garrett Adam Lee | Dentist | 6300 Garfield Ave Ste 150, Sacramento, CA 95841-5403 | 2008-04-18 |
| 1619195849 | B. Deirmenjian, Dds, Inc. | Dentist | 3428 Watt Ave Ste B, Sacramento, CA 95821-3624 | 2007-04-23 |
| 1306064019 | Jeffrey A Saladin | Dentist | 4150 Truxel Rd Ste B, Sacramento, CA 95834-3761 | 2007-04-20 |
| 1669591459 | Brenda Ho | Dentist | 905 Secret River Dr Ste E, Sacramento, CA 95831-3437 | 2007-03-29 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95834 |
Please comment or provide details below to improve the information on CATHY CHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.